Individual
ALEXANDRIA VIRGOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 WINCHESTER RD, MEMPHIS, TN 38118-5100
(901) 375-1050
Mailing address
4539 WINCHESTER RD, MEMPHIS, TN 38118-5100
(901) 375-1050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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